<form id="add-form" class="form-horizontal" role="form" data-toggle="validator" method="POST" action="">

    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Real_name')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-real_name" class="form-control" name="row[real_name]" type="text">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Idcard_no')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-idcard_no" class="form-control" name="row[idcard_no]" type="text">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Idcard_front')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-idcard_front" class="form-control" name="row[idcard_front]" type="text">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Idcard_back')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-idcard_back" class="form-control" name="row[idcard_back]" type="text">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Idcard_hold')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-idcard_hold" class="form-control" name="row[idcard_hold]" type="text">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Personal_profile')}:</label>
        <div class="col-xs-12 col-sm-8">
            <div class="input-group">
                <input id="c-personal_profile" class="form-control" size="50" name="row[personal_profile]" type="text">
                <div class="input-group-addon no-border no-padding">
                    <span><button type="button" id="faupload-personal_profile" class="btn btn-danger faupload" data-input-id="c-personal_profile" data-multiple="false" data-preview-id="p-personal_profile"><i class="fa fa-upload"></i> {:__('Upload')}</button></span>
                    <span><button type="button" id="fachoose-personal_profile" class="btn btn-primary fachoose" data-input-id="c-personal_profile" data-multiple="false"><i class="fa fa-list"></i> {:__('Choose')}</button></span>
                </div>
                <span class="msg-box n-right" for="c-personal_profile"></span>
            </div>
            <ul class="row list-inline faupload-preview" id="p-personal_profile"></ul>
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Certification_status')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-certification_status" class="form-control" name="row[certification_status]" type="number" value="0">
        </div>
    </div>
    <div class="form-group layer-footer">
        <label class="control-label col-xs-12 col-sm-2"></label>
        <div class="col-xs-12 col-sm-8">
            <button type="submit" class="btn btn-success btn-embossed disabled">{:__('OK')}</button>
            <button type="reset" class="btn btn-default btn-embossed">{:__('Reset')}</button>
        </div>
    </div>
</form>
